Provider Demographics
NPI:1245495084
Name:MORROW, JESSICA LEE (LMP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEE
Last Name:MORROW
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22647 N.E. INGLEWOOD HILL RD.
Mailing Address - Street 2:PLATEAU CHIROPRACTIC
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074
Mailing Address - Country:US
Mailing Address - Phone:425-868-9593
Mailing Address - Fax:425-868-6826
Practice Address - Street 1:23525 N.E. NOVELTY HILL RD.
Practice Address - Street 2:REDMOND RIDGE CHIROPRACTIC
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053
Practice Address - Country:US
Practice Address - Phone:425-868-0120
Practice Address - Fax:425-868-3920
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00020469225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist